Provider Demographics
NPI:1558307785
Name:CHROMEY, DAVID J (DPM)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:J
Last Name:CHROMEY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:821 S MAIN ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:OLD FORGE
Mailing Address - State:PA
Mailing Address - Zip Code:18518-1497
Mailing Address - Country:US
Mailing Address - Phone:570-457-5544
Mailing Address - Fax:570-457-5511
Practice Address - Street 1:821 S MAIN ST
Practice Address - Street 2:
Practice Address - City:OLD FORGE
Practice Address - State:PA
Practice Address - Zip Code:18518-1497
Practice Address - Country:US
Practice Address - Phone:570-457-5544
Practice Address - Fax:570-457-5511
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-22
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC004070L213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA21460 1166OtherGEISINGER
PA800088OtherFIRST PRIORITY HMO
PA21460 1166OtherGEISINGER GOLD
PA73791OtherUNISON MEDPLUS
PAPO32929OtherTRICARE FOR LIFE
PA2286071OtherAETNA
PA0015055820002Medicaid
PA601818OtherFIRST PRIORITY LIFE INSURANCE COMPANY
PA601818OtherBLUE SHIELD
PA73791OtherUNISON MEDPLUS
PA0015055820002Medicaid
PA601818OtherFIRST PRIORITY LIFE INSURANCE COMPANY
U54284Medicare UPIN